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BORANG P.U.A.(275)

BORANG P.U.A.(275)

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Published by En.Mat Lazim

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Published by: En.Mat Lazim on Nov 30, 2009
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05/14/2013

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P.U.(A) 275 
 JADUAL KETIGA(Subperaturan 7(1)
 
PERATURAN-PERATURAN PENDIDIKAN(PENERIMAAN MASUK KE SEKOLAH, PENYIMPANAN,DAFTAR DAN SYARAT BAGI PENGEKALAN MURID DI SEKOLAH) 1998
 
PERMOHONAN UNTUK PERTUKARAN SEKOLAHOLEH MURID WARGANEGARA
Pengarah Pelajaran Negeri / PPD : __________________________________________________________________________  Nama dan alamat sekolah asal: _________________________________________________________________________  __________________________________________________________________________  
BUTIRAN-BUTIRAN TENTANG PERTUKARANSEKOLAH
1Nama Murid : ___________________________________________________________________________________  2Jantina : ___________________________________________________________________________________  3Tarikh Lahir : ____________________No. Kad Pengenalan / Surat Beranak : ________________ 4Bangsa : ___________________________________________________________________________________  5 Tarikh Pendaftaran (sekolahsekarang): ________________________________________________________________  6Namabiasiswa: ____________________Jumlah biasiswa: ________________________________  7Tahun terakhir / tingkatan tertinggi : ________________________________________________________________  8 Jika sekolah menengah, aliran(nyatakan): ________________________________________________________________  9* Kelulusan UPSR: __________________________________________________________________________  PMR: _________________________________________________________________________ SPM : __________________________________________________________________________  * Sila lampirkan sesalinan keputusanpeperiksaan10Nama ibu/ bapa/ penjaga : _________________________________________________________________________ 11Alamat ibu/ bapa/ penjaga ( mengikut undang-undang ): _________________________________________
 
  _____________________________________________________________________________________________________  12Alamat surat menyurat ( jika lain dari No. 11 ): ____________________________________________________  _____________________________________________________________________________________________________ 13Sekolah baru yang dipilihPilihanPertama: ___________________________________________________________________________________  PilihamKedua: ___________________________________________________________________________________  14Sebab-sebab pertukaran : _________________________________________________________________________ 15Tarikh pertukaran yang dikehendaki : ________________________________________________________________  16Ulasan Guru Besar atau Pengetua : ________________________________________________________________   _____________________________________________________________________________________________________   Tarikh : ____________________ __________________________________________( Tandatangan Guru Besar atau Pengetua ) Untuk keguanaan Jabatan Pelajaran Negeri / PPD : ________________________________________ * diluluskan /tidak duliluskan untuk peneriamaan masuk ke sekolah ______________________________________________________   _________________________________________ mulai dari tarikh yangdipohon.* potong jika tidak berkenaan.Cop Rasmi _____________________________________________  _ ________________________________  Tandatangan Pengarah Pelajaran Negeri /PPD Tarikh

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